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Since then we have figured out something important. During our relationship I acted like a crutch for her in this area. Once we broke up she took stock in her life and realized that something had to change. She has since taken a very proactive stance on this and has started to lose some of the weight that she felt she needed to. She is happier with who she is and has more confidence.
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Accountability and responsibility are very important in having a personal stock in your life. Supporting negative self-talk can create a cycle of negative self-talk and defeatism because there is absolutely no motivation to change. "You're beautiful, great, etc" says that you don't need to change. It is important to be supportive, but not to give the person a free pass either.